| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.75 | $555.45 | $1,209.29 | |
Aetna
| Professional | $220.89 | $325.08 | $572.36 | |
BCBS
| Facility | $41.06 | $190.02 | $2,850.97 | |
BCBS
| Professional | $300.00 | $318.87 | $527.49 | |
Cigna
| Facility | $442.55 | $1,026.75 | $2,376.42 | |
Cigna
| Professional | $211.17 | $269.87 | $775.75 | |
Medcost
| Facility | $273.05 | $438.87 | $619.11 | |
Molina
| Professional | $229.23 | $229.23 | $229.23 | |
United
| Professional | $175.05 | $283.58 | $425.39 |